Working with the National Public Health Institution, the AMR coordination committee and multi-sectorial stakeholders, this project innovated our ‘One Health Surveillance Platform’ moving us from a pilot implementation to a launched service.

This advanced our programme by creating a reusable open source toolkit and a reference blueprint for AMR data management. The project proved that our interoperability software (Open Interop) can connect to diverse data stores (e.g. OpenLDR, SI-Lab, WHONET) and integrate with DHIS2, therefore reducing the data collection burden. Our E2E data model was shown to successfully store and manage One Health data in a standardised format supporting microbiology (AST/DST) data and Glass reporting.

This project was sponsored by GAMRIF (UKAID) and administered by FIND.

The biggest challenge has been in country service continuity and sustainability beyond the GAMRIF project funding.

Our work with the Institute Pasteur in Senegal proved that our ‘service orientated architecture’ can integrate with and organisation’s existing IT investments (i.e. AMR sentinel surveillance systems). In this way we were able to augment and enrich IPD Senegal’s existing AMR response.

Our platform advanced through inclusion of GIS capabilities and tripartite study data into our data model.

Ultimately this pilot proved that our platform can be successfully reused and can, through use of our reference architecture, achieve rapid deployment and deliver immediate benefit.

This project was sponsored by GAMRIF (UKAID) and administered by FIND.

The impact of the Nepal One Health System implementation was to further prove the reuse and rapid deployment capabilities of the solution. It also allowed us to advance in data collection by developing ODX, a method for automatically standardising spreadsheet data, saving vast amounts of time otherwise spent manually manipulating spreadsheets for example, reordering columns and rows, correcting spelling mistakes and standardising antibiotic, pathogen and sample codes.

See publication https://www.mdpi.com/2414-6366/8/6/291

The project has also proven our systems at volume (> 1.4 million data records processed)

Once again sustainability beyond funding period has proven to be the biggest challenge. This has lead us to develop support services and operating models, to reduce the impact of gaps between funding.

Implementations were sponsored by the Fleming Fund and administered by FIND

The development of the Kenya One Health Surveillance System commenced in September 2021. This initiative was a collaborative effort with the Foundation for Innovative New Diagnostics (FIND) digital access team. The project was designed to progressively enhance the platform through a series of iterative releases, driven by user feedback and specific requirements gathered after each cycle.

To establish the surveillance system, data from multiple sectors, including human and animal health, were consolidated within the CDW. SfHF and partners created an API link to connect the CDW with our newly implemented One Health Platform. This connection enabled the seamless transfer of data into the surveillance system, allowing for the population of DHIS2 dashboards with five years' worth of historical data.

The project culminated in the internal launch of the Kenya AMR One Health Surveillance System, now fully operational. Ensuring continuity and sustainability of digital interventions is crucial. To support this, the system has entered a sustainability phase where the Software for Health Foundation and partners, provides ongoing technical assistance and on-the-job training. The focus is on empowering the Kenyan team to achieve self-sufficiency while continuing to enhance the system and resolve any issues that arise.

OMOP Accreditation - Federated Search

Following on from our research into federated networking for AMR, SfHF guided our commercial partner Blue Frontier Ltd, to become EHDEN accredited, providing us an expert OMOP/CDM Federated Networking capability.

https://www.ehden.eu/business-directory/7348/blue-frontier-it-ltd/

The accreditation combined with our work in understanding how to accommodate the complexities of AMR microbiology into the OMOP/CDM data model positions us to consultant and implement federated networking for AMR surveillance and observational study data.

This has the impact of completing the data journey from field to global sharing of data, banishing the concept of siloed or ‘use once’ One Health datasets and embracing the concepts of FAIR data management and open science.

It is through federated networking that we expect to achieve the greatest impact on unlocking the value of collected data.

https://www.ehden.eu/